Stockard, Alan R

Stockard, Alan R is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stockard, Alan R can be contacted via phone (817) 735-2235.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 735-2235
Fax: (817) 735-2480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X E6970 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X E6970 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E6970 Texas

Profile Details

NPI number 1417987850
LBN Legal business name Stockard, Alan R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417987850 NPPES
Texas Other 847561 BCBS
Texas Other P00633587 BCBS
Texas MEDICAID 132469109 BCBS
Texas Other 8BM390 BCBS
Texas Other P00768237 BCBS
Texas MEDICAID 132469110 BCBS

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